scholarly journals Nonoperative Management of Uncomplicated Appendicitis Among Privately Insured Patients

JAMA Surgery ◽  
2019 ◽  
Vol 154 (2) ◽  
pp. 141 ◽  
Author(s):  
Lindsay A. Sceats ◽  
Amber W. Trickey ◽  
Arden M. Morris ◽  
Cindy Kin ◽  
Kristan L. Staudenmayer
Keyword(s):  
Nonoperative Management ◽  
Uncomplicated Appendicitis ◽  
Insured Patients ◽  
Privately Insured

Nonoperative Management of Appendicitis in Privately Insured Patients

2018 ◽  
Vol 227 (4) ◽  
pp. S156-S157
Author(s):  
Lindsay A. Sceats ◽  
Amber W. Trickey ◽  
Arden M. Morris ◽  
Cindy J. Kin ◽  
Kristan D. Staudenmayer
Keyword(s):  
Nonoperative Management ◽  
Insured Patients ◽  
Privately Insured

Pediatric emergency medical services in privately insured patients: A 10-year national claims analysis

2019 ◽  
Vol 37 (8) ◽  
pp. 1409-1415
Author(s):  
Lucas Oliveira J. e Silva ◽  
Jana L. Anderson ◽  
M Fernanda Bellolio ◽  
Ronna L. Campbell ◽  
Lucas A. Myers ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Pediatric Emergency ◽  
Medical Services ◽  
Claims Analysis ◽  
Emergency Medical ◽  
Insured Patients ◽  
Privately Insured

scholarly journals Increasing Trends in the Use of Hospital Observation Services for Older Medicare Advantage and Privately Insured Patients

2017 ◽  
Vol 76 (2) ◽  
pp. 229-239 ◽  
Author(s):  
Keith D. Lind ◽  
Claire M. Noel-Miller ◽  
Lindsey R. Sangaralingham ◽  
Nilay D. Shah ◽  
Erik P. Hess ◽  
...  
Keyword(s):  
Data Warehouse ◽  
Older Patients ◽  
Claims Data ◽  
Veterans Affairs ◽  
Inpatient Stay ◽  
Medicare Advantage ◽  
Younger Patients ◽  
Insured Patients ◽  
Increasing Trends ◽  
Privately Insured

Policy and financial pressures have driven up use of observation stays for patients in traditional Medicare and the Veterans’ Affairs Healthcare System. Using claims data (2004-2014) from OptumLabs™ Data Warehouse, we examined whether people in private Medicare Advantage (MA) and commercial plans experienced similar changes. We found that use of observation increased rapidly for patients in MA plans—even though MA plans were not subject to the same pressures as government-run programs. In contrast, use of observation remained constant for people in commercial plans—except for enrollees 65 and older, for whom it increased somewhat. Privately insured patients returning to the hospital after an inpatient stay were increasingly likely to be placed under observation. Our results suggest that observation is rapidly replacing inpatient admissions and readmissions for many older patients in MA and commercial plans, while younger patients continue to be admitted as inpatients at relatively constant rates.

scholarly journals Public versus Private Drug Insurance and Outcomes of Patients Requiring Biologic Therapies for Inflammatory Bowel Disease

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Amir Rumman ◽  
Roberto Candia ◽  
Justina J. Sam ◽  
Kenneth Croitoru ◽  
Mark S. Silverberg ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Emergency Department Visits ◽  
Drug Coverage ◽  
Timely Access ◽  
Inflammatory Bowel ◽  
Ed Visits ◽  
Insured Patients ◽  
Public Drug ◽  
Privately Insured

Background. Antitumor necrosis factor (anti-TNF) therapy is a highly effective but costly treatment for inflammatory bowel disease (IBD).Methods. We conducted a retrospective cohort study of IBD patients who were prescribed anti-TNF therapy (2007–2014) in Ontario. We assessed if the insurance type was a predictor of timely access to anti-TNF therapy and nonroutine health utilization (emergency department visits and hospitalizations).Results. There were 268 patients with IBD who were prescribed anti-TNF therapy. Public drug coverage was associated with longer median wait times to first dose than private one (56 versus 35 days,P=0.002). After adjusting for confounders, publicly insured patients were less likely to receive timely access to anti-TNF therapy compared with those privately insured (adjusted hazard ratio, 0.66; 95% CI: 0.45–0.95). After adjustment for demographic and clinical characteristics, publicly funded subjects were more than 2-fold more likely to require hospitalization (incidence rate ratio [IRR], 2.30; 95% CI: 1.19–4.43) and ED visits (IRR 2.42; 95% CI: 1.44–4.08) related to IBD.Conclusions. IBD patients in Ontario with public drug coverage experienced greater delays in access to anti-TNF therapy than privately insured patients and have a higher rate of hospitalizations and ED visits related to IBD.

Potentially Preventable Primary Cesarean Sections in Future Placenta Accreta Spectrum

2021 ◽  
Author(s):  
Kathy C. Matthews ◽  
Andrew S. Quinn ◽  
Stephen T. Chasen
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Placenta Accreta ◽  
External Cephalic Version ◽  
Cesarean Sections ◽  
Medical Indication ◽  
Placenta Accreta Spectrum ◽  
Primary Cesarean Delivery ◽  
Insured Patients ◽  
Privately Insured

Background Prior cesarean delivery is a well-known risk factor for placenta accreta spectrum disorders. While primary cesarean section is unavoidable in some patients, in others it may not be clearly indicated. Objective The aim of the study is to determine the proportion of patients with placenta accreta spectrum who had a potentially preventable primary cesarean section and to identify factors associated with preventable placenta accreta spectrum. Study Design This was a single-center retrospective cohort study of women with pathology-confirmed placenta accreta spectrum from 2007 to 2019. Primary cesarean sections were categorized as potentially preventable or unpreventable based on practice consistent with the American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine “Safe Prevention of the Primary Cesarean Delivery” recommendations. Fisher's exact test and Mann-Whitney U-test were used for comparison with p <0.05 considered statistically significant. Results Seventy-two patients had pathology-confirmed placenta accreta spectrum over the course of the study period, 15 (20.8%) of whom required a cesarean hysterectomy at the time of primary cesarean section. Fifty-seven patients had placenta accreta spectrum in a pregnancy following their primary cesarean section. Of these, 29 (50.9%) were considered potentially preventable. Most were performed without clear medical indication (37.9%) or for fetal malpresentation without attempted external cephalic version (37.9%). The remainder were due to arrest of labor not meeting criteria (17.2%) and abnormal or indeterminate fetal heart patterns with documented recovery (6.9%). Of the 11 patients without clear medical indication for primary cesarean section, eight (72.7%) were patient-choice cesarean sections and three (27.3%) were for suspected fetal macrosomia with estimated fetal weights not meeting criteria for cesarean delivery. There was no difference in the incidence of potentially preventable primary cesarean sections before and after the ACOG-SMFM “Safe Prevention of the Primary Cesarean Delivery” publication (48.8 vs. 57.1%, p = 0.59). Privately insured patients were more likely to have a potentially preventable primary cesarean section than those with Medicaid (62.5 vs. 23.5%, p = 0.008) and were more likely to have a primary cesarean section without clear medical indication (81.8 vs. 18.2%, p = 0.004). Conclusion Many patients with placenta accreta spectrum had a potentially preventable primary cesarean section. Most were performed without clear medical indication or for malpresentation without attempted external cephalic version, suggesting that at least a subset of placenta accreta spectrum cases may be preventable. This was particularly true for privately insured patients. These findings call for continued investigation of potentially preventable primary cesarean sections with initiatives to address concerns at the patient, provider, and hospital level. Key Points

Quality of Hospital Care of Children With Asthma: Medicaid Versus Privately Insured Patients

2001 ◽  
Vol 12 (2) ◽  
pp. 192-207 ◽  
Author(s):  
Nancy J. Merrick ◽  
Robert Houchens ◽  
Sandra Tillisch ◽  
Bruce Berlow ◽  
Chris Landon
Keyword(s):  
Hospital Care ◽  
Children With Asthma ◽  
Insured Patients ◽  
Privately Insured

scholarly journals Measuring Healthcare Delays Among Privately Insured Patients in the United States

2020 ◽  
Author(s):  
J. El Halabi ◽  
N.P. Palmer ◽  
K. Fox ◽  
J.E. Golub ◽  
I. Kohane ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Insured Patients ◽  
Privately Insured
Sign in / Sign up

Export Citation Format

Share Document